Over 40,000 Washington residents are diagnosed with cancer each year. Our proposal builds upon our existing work testing innovative strategies to disseminate more comprehensive cancer survivorship care to Washington residents. Given that disparities in cancer care, including survivorship, are felt most acutely among historically underserved populations, we will focus our proposed study among people of color, those living in rural areas and other neighborhoods with greater socioeconomic disadvantage. To accomplish this, we will work with the Fred Hutch-based Cancer Surveillance System, part of the US cancer registry system, to identify state residents who meet these criteria. We will offer these residents an opportunity to participate in a randomized telehealth intervention study, testing different ways of delivering survivorship care in collaboration with the US National Cancer Institute’s Cancer Information Service, which is operated out of the Fred Hutchinson Cancer Center. To ensure the relevance of our work to the community we serve at large, we will also conduct individual semi-structured qualitative interviews with both cancer survivors and stakeholders from community-based clinics. This effort will enable us to better understand the context and barriers to effective dissemination of survivorship care across Washington State.